Individual
MS. JODIE LYNN PORGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RR, CDE
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
LD.6128
OH
133V00000X
Registered Dietitian
Primary
RD940744
CA
Other
Enumeration date
09/07/2011
Last updated
01/02/2019
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